Organization
PHOENIX HOUSING FOUNDATION, LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROYALE DEJUN REASBY (CEO)
(414) 397-7926
Entity
Organization
Contact information
Practice address
423 W CENTER ST, MILWAUKEE, WI 53212-2724
(262) 349-8560
Mailing address
4701 N 50TH ST, MILWAUKEE, WI 53218-5134
(414) 215-8477
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
342000000X
Transportation Network Company
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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